Advances in Autologous Breast Reconstruction

Autologous breast reconstruction (ABR) in patients undergoing mastectomy is now routinely performed, and associated with high rates of success and minimal donor site morbidity. Compared to alloplastic techniques, advantages of autologous approaches include the ability to confer a lifelong result without the need for additional surgery, superiority in the setting of radiation therapy, and eliminating the possibility of implant-related complications such as anaplastic large cell lymphoma. Moreover, ABR is associated with superior patient-reported outcomes compared to implant-based reconstruction. This article reviews recent advances in ABR, which have refined existing techniques, broadened the array of donor site options available to reconstructive surgeons, and streamlined the management of patients undergoing these procedures.